320 children with schizophrenia
(Thanks to my friend Pirate Flag Xinuo monthly pass for encouragement)
People also don't care about their bodies too much, and now the temperature difference between day and night is very large, and they will get caught if they are not careful.
Especially those who like to eat food stalls and roadside stalls, and they are enthusiastic when they drink wine. What about when the breeze blows? Some people can't bear it. Now the rate of medical treatment of this kind of wind chill and cold is really high, and it is not much worse than the flu in winter.
And today's young people are still more beautiful, this time is the season to wear short sleeves during the day and long sleeves at night. But what about them, it's basically a short one.
"Everyone, pay attention, there is an extra set of clothes for getting off work at night, let's not toss a cold. Liu Banxia shouted.
"Thank you, Mr. Liu"
The big guys responded in unison.
In fact, Liu Banxia will always have this phenomenon when he is hospitalized, and he is more "lively". As long as you don't make mistakes in principle, that's fine.
"Dr. Liu, there will be a special patient in a moment, and he needs a quieter consultation room. At this time, Wang Ying shouted.
"Sister Wang, what's the situation?" asked Liu Banxia curiously.
"A nine-year-old kid with some mental problems. It seems that there is still some depression, I love to use my hands, and I lose my temper when I am louder. Wang Ying said.
"That's what the dispatch nurse just said, considering that there are relatively few patients in our emergency center just opened, so they were referred to us. Trauma caused by fainting in the head needs to be treated. ”
"OK, I'll see Xu Hui after a while. You can inform everyone again, so that everyone pays attention. Liu Banxia nodded.
Although he is not a VIP customer of the second hospital, he can also give this child a VIP treatment. He suffered from mental illness at a young age, and it was not only him who suffered, but also his family.
After waiting for seven or eight minutes, the ambulance stopped at the door. Today's ambulance didn't even pull the siren, so it drove quietly over.
"The patient's vital signs were stable, some diazepam was used, and there was a 1.5 cm wound on the forehead, which was somewhat deep. The first responder said after pushing the gurney down.
Seeing the child's appearance clearly, Liu Banxia frowned.
Today's child is lying down very peacefully because of the medication, but there are no less than five large and small wounds on his head, not counting today's new one.
He also noticed that there were also many small wounds on the child's hands, some of which were scratches that had not yet healed. Combined with the child's history of mental illness, he judged that it was likely to be self-harming.
"How long has the child been sick?" After coming to the disposal room, Liu Banxia asked the child's mother.
"It's been more than three years, and now I can't go to school, I can only watch him every day at home, and I can't stand it. The child's mother burst into tears as she spoke.
"Don't worry, the child's wound is well treated. Before the current stabilization had passed, I anesthetized him first and then sutured him. Liu Banxia said softly.
Even if you are well-informed, you know that this family is having a hard time. Looking at such a child can be described as very tiring, the child's mother does not look very old, and now she has a lot of gray hair.
Liu Banxia carefully cleaned the child's wounds, including when injecting anesthetics. However, the stinging pain of the needle stuck in the needle still woke the child up.
just glanced at Liu Banxia, and then closed his eyes again.
A child of this age, if he hadn't already experienced something more terrifying, how could he be so calm and sewn up? Not to mention children, even adults have to ask when they wake up.
Liu Banxia felt very sorry for this child, and he was more serious and faster when he sutured.
"Okay, don't get wet, come and change the medicine the day after tomorrow. After putting on the tape, Liu Banxia said softly.
"You sew fast. The little guy looked at him and said, but frowned when he finished speaking.
Liu Banxia was stunned for a moment, it looked normal, and it didn't look like a child with mental problems and depression.
"You're strong, other kids cry. Liu Banxia said.
"Fun fooling children?" asked the little one very stubbornly.
This little guy is very interesting, Liu Banxia habitually stretched out his hand and touched his hair, and the little guy's hair was also a little long.
It's just that even he was stunned after touching it, this little guy has a history of mental illness, and it may be depression, what if he touches the child?
After he was stunned, the little guy was also stunned, and tears rolled around his eyes.
"Let's rest at my uncle's for a while. Liu Banxia pinched the little guy's shoulder.
The little guy looked at him silently, lowered his head and thought for a while, but then obediently lay down on the hospital bed.
Liu Banxia turned off half of the light in the disposal room, gave the child's mother a look, and walked out together. Of course, before coming out, I also brought out all the objects that could harm myself.
"I see that the child's mental performance is normal, what were the results of your previous examination?" asked Liu Banxia after coming outside.
"I checked it for a long time, but I didn't find anything wrong. In the end, the doctor said that it may be early-onset schizophrenia, and there are many sources of stimulation, the most important being noise. The child's mother said.
"Normally, it's fine, as long as there is a loud or noisy sound, he will get sick. Sometimes he smashes things by himself, sometimes he faints, and when it's really uncomfortable, he scratches himself. ”
As she spoke, the child's mother began to cry again.
"But even if that's the case, it should be a bit of a performance in normal times. Especially when it comes to strangers, he seems to be very happy, but when I touched his hair, he seemed very happy. Liu Banxia frowned and said.
"He hadn't seen outsiders for a long time, and although the neighbors didn't say anything, they would see him when they took him out, and then he didn't want to go out himself. The child's mother said.
"We all wanted to move to the countryside to live, at least to be quieter. But it doesn't work, someone has a dog, and if he barks, he will get sick. ”
"Have you had any recent check-ups? It can usually be a brain lesion that is caused by such symptoms. Liu Banxia said.
"What else is there to check, I don't know how many times that CT and MRI have been done. The child's mother said with a wry smile.
"Wait a minute, I'll talk to our doctor in God. Liu Banxia said.
Then he slipped into Bloomberg's office and told him about the child.
"It's kind of interesting to hear what you said, under normal circumstances, it is rare to get sick in children at this point, and most of them will have some symptoms after entering puberty. Bloomberg said.
"And the child's manifestations can only be classified as undifferentiated clinically, which is very rare. Normal patients have a paranoid clinical presentation, hallucinations and delusions. Nervousness, always nervous. ”
"But no matter what type of classification, there will generally be one or more of perceptual disorders, thinking disorders, affective disorders, volitional behavior disorders, and cognitive dysfunctions. ”
"At first, when I heard you say that the child woke up cold, I thought it was an emotional disorder. But if you touch his hair and make him feel close, that's a denial. ”
"Brother Peng, what do you think is the situation? Otherwise, you can take a look at the child with me. Liu Banxia was a little anxious.
"Wait a minute, I'll think about it first. It's best to stay for a while and see when your child gets sick. Bloomberg said with a smile.
"And our current discussion is also a process of exclusion, combined with your description, it seems that children are only sensitive to sound, and have violent tendencies and self-harm tendencies, right?"
Liu Banxia nodded, "There is also the condition of fainting." ”
"Then you have to do the work of the child's mother, you have to do an electroencephalogram and a brain CT to see if there are any lesions in the frontal page, temporoparietal and occipital lobes. Bloomberg said.
"In general, it is the lesions in these areas that cause schizophrenia. If you don't have any of that, it's hard to look up. ”
"I'm also worried about this, this kid, how normal it is, it's distressing to watch. The hair is long, and it must be because I am not used to cutting my hair. Liu Banxia said.
"I've got another patient here for a while, and I'll go over and take a look when I'm done. Bloomberg smiled and nodded.
"Okay, I'll stay with the child's mother and the child first. After Liu Banxia finished speaking, he walked out.
Peng Bo shook his head, this is the second day of working with Liu Banxia seriously, I admire his passion, maybe this is the habit of the emergency department.
"Is there anything wrong with the child, right? I'll be over after a little while. After coming back, Liu Banxia said.
"Doctor, can you check it out?" asked the child's mother.
"The neurophysician recommended electroencephalogram and brain CT, and I always felt that the child was not simply schizophrenic. Because they have a history of three years, if they are schizophrenic, it is impossible to behave as normally as a child. Liu Banxia said.
Liu Banxia's words rekindled the hope of the child's mother, because the child was really resistant to outsiders, but it was okay for Liu Banxia to touch the child's head just now.
Liu Banxia gently opened the door and glanced in, the little guy should be asleep, anyway, he was lying quite peacefully on the bed.
Before he could close the door, a loud cell phone rang in the hallway. One patient pulled out his cell phone and spoke loudly.
"Ah...... Yes...... Ah......h
Before Liu Banxia could see the child's situation, he saw the child rolling on the hospital bed, shouting while rolling.
This scared Liu Banxia a lot, although the mobile phone ringtone in the corridor sounded a little loud, but it was not too big when it reached the disposal room.
Without thinking much about it, Liu Banxia ran in and hugged the little guy. I'm afraid that he will hurt himself when he goes crazy, and then break the stitches on his head.
Even if he was holding it, the child kept struggling, his feet were kicking all the time, and finally he rolled his eyes and fainted.